Community Benefits Report 2014 - Gulf Coast Regional Medical

Gulf Coast Regional Medical Center
2014
Community Report
“When my son, Josiah, was born, the physicians,
nurses and therapists did an unbelievable job of
making me feel comfortable and putting my mind at
ease. I am forever grateful to the entire NICU staff at
Gulf Coast Regional Medical Center.”
Adrianne Fuqua
Community Report
2014
Message from the President & CEO
So many exciting things took place at
Gulf Coast Medical Center in 2013. One
announcement we made is the changing of
our name to Gulf Coast Regional Medical
Center. The addition of the word “Regional”
is important as it reflects the breadth of
services we added and prepare to offer
with Maternal Fetal Medicine for high-risk
pregnancies, Level III Neonatal Intensive
Care Unit (NICU), Pediatric Intensive Care
Unit (PICU), Telemedicine, Pediatric General
Surgery, Pediatric Neurology and Pediatric
Cardiology. As part of the regional strategy, we also formed clinical affiliation partnerships with Northwest Florida
Community Hospital (Chipley, FL), Doctors Memorial Hospital (Bonifay, FL) and Jackson Hospital (Marianna, FL).
Through the affiliations, we are creating a hospital network to extend services from Gulf Coast Regional Medical
Center into the surrounding rural communities we serve. In October, Gulf Coast Regional Medical Center unveiled a
42-bed critical wing, which includes a 20-bed adult-level ICU, the region’s only four-bed PICU and an 18-bed Level
III NICU (Spring 2014).
For the second consecutive year, Gulf Coast Regional Medical Center was recognized as one of the nation’s 100
Top Hospitals® by Truven Health Analytics and was awarded an “A” rating by The Leapfrog Group, an independent
organization that rates hospitals on performance, national standards of safety, quality and efficiency, and patient
satisfaction. In addition, for the third consecutive year, Gulf Coast Regional Medical Center earned the Top Performer
on Key Quality Measures® from the Joint Commission. We were recognized for attaining and sustaining excellence
in accountability measure performance for heart attack, heart failure, pneumonia and surgical care.
Through the efforts of a dedicated team, we are now the healthcare provider of choice for the region. This includes
caring for the patient and families that reside between Tallahassee and Fort Walton and up to Dothan. We simply
could not have made this happen without our entire staff. Carlton Ulmer, President & Chief Executive Officer
Gulf Coast Regional Medical Center
page 2
page 1
Community Report
About Gulf Coast Regional Medical Center
2014
Community Impact Summary
Statistics
Total Patients Treated..........................................125,567
Annual Hospital Admissions .................................11,399
Annual Emergency Visits.......................................60,323
Total Medicaid Patients Treated – ER....................33,584
Medicaid Market Share – ER......................52.05%
Total Indigent Patients Treated – ER.....................10,713
Indigent Care Market Share – ER...............20.55%
Our Facility & Services
Carlton Ulmer
President &
Chief Executive Officer
Holly Jackson
Chief Operating Officer
Laurie Haynes
Chief Financial Officer
Mark Phillips
Leadership Team
Chief Nursing Officer
Number of Beds in Service.........................................196
Acute Care..................................................................178
NICU Level II................................................................12
NICU Level III (Spring 2014)...........................................6
Our Hospital Family
Gulf Coast Regional Medical Center is a 218-bed
acute care hospital located in Panama City, FL.
Its 250-member medical staff and more than 800
employees work hard to ensure its patients receive the
highest quality of care every day.
Their efforts have resulted in national accreditations for
Chest Pain Center, Total Joint Replacement, Peripheral
Vascular Disease, Spine, Stroke and Wound Care. The
hospital was named a Top 100 Hospital ® by Truven
Health Analytics for the second consecutive year and
was awarded an “A” rating by The Leapfrog Group,
an independent organization that rates hospitals on
performance, national standards of safety, quality and
efficiency, and patient satisfaction.
page 2
The hospital is also an affiliate of the University of
Alabama at Birmingham (UAB) Cancer Care Network
and earned the Advanced Accreditation for Oncology
Care (ACOS). For the third consecutive year, Gulf Coast
Regional Medical Center earned the Top Performer on
Key Quality Measures® from the Joint Commission.
Total Employees.........................................................804
Total Physicians...........................................................429
Total Volunteers (Total Volunteer Hours - 14,243)........65
*Represents 2013 data
Gulf Coast Regional Medical Center also unveiled a
42-bed critical care wing, adding a new Intensive Care
Unit, and the region’s only Pediatric Intensive Care Unit
and Level III Neonatal Intensive Care Unit (Spring 2014).
page 3
Community Report
Economic Impact
2014
Giving Back To Our Community
A partial list of the organizations
benefiting from Gulf Coast Regional
Medical Center’s involvement:
TOTAL Salaries & Benefits..........................$58,966,773
Cost of Charity & Uncompensated Care...$10,726,636
Alzheimer’s Association
American Cancer Society
Taxes Paid:
American Heart Association
Indigent Care Tax......................................$2,304,371
Federal Income Tax...................................$9,327,578
State Income Tax.......................................$1,567,205
Property Tax..................................................$435,404
Sales Tax....................................................$1,149,270
TOTAL Taxes................................................$17,088,199
Total Local Vendor Support........................$12,705,283
Minority Local Vendor Support..................$1,132,822
Bay County Chamber of Commerce
Bay County Interagency Council
Case Management Society
of America
Children’s Home Society of Florida
Community Health Task Force
Council on Aging
Covenant Hospice
Community Health Task Force
Capital Investment......................................$11,026,984
Emerald Coast Hospice
Physician Specialty Coverage.......................$2,421,116
Girls, Inc.
TOTAL Economic Impact..........................$112,934,991
Florida State University-Panama City
Gulf Coast State College Foundation
critical care wing EXPANSION
In October, the hospital unveiled a new 42-bed critical care wing that includes
a 20-bed adult-level Intensive Care Unit (ICU), an 18-bed NICU and a fourbed PICU. The ICU capacity was increased by eight beds and it contains all of
the latest equipment needed for the delivery of evidence-based care, while
focusing on the patient and providing a family-centered approach to care. The
NICU expanded from a 10-bed Level II unit with the capacity to provide Level
III care in Spring 2014. Many of the babies we currently transfer to Pensacola,
Gainesville or Birmingham will be able to stay here with their families.
Healthy Start
Junior League of Panama City
Local Vendor Support
11%
Physician
Specialty Coverage
3%
Lighthouse Family Retreat
Lynn Haven Senior Center
March of Dimes
Panama City Beach Chamber
of Commerce
Capital Investment
10%
Taxes
15%
Charity & Uncompensated
Care 9%
page 4
Salaries & Benefits
52%
Panama City Beach Senior Center
The Rotary Club of Emerald Coast
Salvation Army
United Way
page 5
Community Report
Awards and Recognition
2014
Quality & Patient Safety
Providing care that meets and exceeds national standards is the
goal of Gulf Coast Regional Medical Center. It’s a commitment that
requires a daily attention to detail and an intense focus on quality.
We’re proud to say our efforts have resulted in being recognized by
the Joint Commission as a Top Performing Hospital. It’s a distinction
that places us in the top 12% of hospitals in the country. Additionally,
our accreditations and affiliations are a testament to our goal of
remaining the area’s health care quality leader:
• American College of Surgeons Commission on Cancer
Outstanding Achievement Award Recipient
• National Accreditation Program for Breast Centers
• Peripheral Vascular Disease
• Spine Surgery
• Stroke
Pediatric Early Warning Scoring System (PEWS)
• Total Hip and Joint Replacement
In 2012, HCA’s Clinical Services Group introduced an early warning system
addressing adult patients (MEWS). A corresponding Pediatric Early Warning
Scoring System (PEWS) was implemented in 2013. Hospitals have realized that
many warnings in general care areas are preventable. Warning signs associated with
patient deterioration may occur up to 8 hours prior to a code event. Use of rapid
response teams has decreased the risk of respiratory and cardiopulmonary arrest
outside of the PICU. The challenge lies in identifying early signs of deterioration
and intervening.
• University of Alabama at Birmingham (UAB)
Cancer Care Network affiliate
• Wound Care
For an apples-to-apples comparison of how area hospitals provide
care, log on to www.hospitalcompare.hhs.gov.
PEWS provides assessment, early intervention and stabilization for pediatric
patients, prevents clinical deterioration or arrest outside of the PICU, and triggers
a Rapid Response by a team of critical care experts. The system also provides a
definitive way to get the necessary attention at the time needed by presenting
quantifiable evidence of deterioration and a standardized means of communication
that can be used to prioritize workload. PEWS has been validated for use with
hospitalized pediatric patients, newborn to 17 years, on medical/surgical units.
Make It. Model It. Donate It.
A select group of physicians and male
employees volunteered in an unusual way
during the hospital’s annual Wear Your Pink
Bra Fashion Show. As part of the hospital’s
Making Strides Against Breast Cancer event,
departments were encouraged to make a
pink bra, which would be modeled by male
physicians and staff, and auctioned. The
$1,300 raised supported the local chapter of
the American Cancer Society.
Sepsis Initiative
Consult-A-Nurse
Last year, nearly 10,000 people called Gulf Coast Regional
Medical Center’s Consult-A-Nurse. The service is free and
available all day, every day. Callers can receive a physician
referral, nurse consultation or register for a hospital class or
event by calling (850) 747-3600.
page 6
Gulf Coast Regional Medical Center is paving the way for improved sepsis care
in our community through an aggressive initiative aimed at early detection and
rapid treatment of the often subtle complications surrounding every day infections.
Through a corporate launch of nationally recognized evidence-based guidelines,
we’re pioneering the push locally to reduce the complications associated with this
condition. Gulf Coast Regional Medical Center’s success with this project is greatly
improving sepsis care in the community.
page 7
Community Report
Telemedicine
Gulf Coast Regional Medical Center partnered with
InTouch Health to provide 24/7 stroke care to patients.
This program allows physicians to remotely consult with
patients, family members and other healthcare providers
at a moment’s notice from anywhere in the world.
Through an Internet-based connection to the RP-Lite
robot, physicians are able to provide real-time audio/
video consultations at the patient’s bedside. By getting
immediate access to a Gulf Coast Regional Medical
Center neurologist, patients may be eligible to receive
time-critical medications such as tissue plasminogen
activator (tPA), which can save brain function and reduce
disability. As a result, emergency physicians can more
quickly treat stroke patients in the ER and reduce or
eliminate long-term stroke impacts on patients.
Andy Long, Neuroscience and TeleHealth Director,
conducts a mock demonstration on a patient.
page 8
Information Technology
Patient Safety Projects
Thanks to a dedicated and talented team of
Information Technology professionals, Gulf
Coast Regional Medical Center accomplished
several projects and initiatives in 2013. • Critical Care Tower Expansion
• Standard Desktop / Windows 7
• PACS Refresh
• CVIS PACS Migration
• CISCO Switch Refresh
• Information Security
• Meditech Upgrade / Enhancements
• Telemedicine / Stroke Respond
• C-Tracker
• iSTAT
• Vitals Now
• CPOE/pDOC
• Meaningful Use
• MDM AirWatch
Drs. Hoda Elzawahry and Achraf Makki, neurologists at Gulf Coast
Regional Medical Center, display the telemedicine RP-Lite robot.
2014
Specialized Care
Reynaldo dela Rosa, MD
Tony Pena, MD
New physicians add
expertise to NICU & PICU
Gulf Coast Regional Medical Center announced
the addition of Tony Pena, MD, as its new Neonatal
Intensive Care Unit (NICU) Medical Director and
Reynaldo dela Rosa, MD, FAAP as Medical Director of
its new Pediatric Intensive Care Unit (PICU). Dr. Pena
oversees the 18-bed NICU in the hospital’s new critical
care wing. The NICU expanded from a 10-bed Level II
unit with the capacity to provide Level III care in spring
2014. Gulf Coast Regional Medical Center will have
the capability to care for many of these babies here in
Panama City without having to transfer them to another
facility in Pensacola, Gainesville or Birmingham.
“The development of a Level III NICU in Bay County
not only represents a void filled in Bay, but also within
the region extending into Southern Alabama. Families
are currently being displaced for hundreds of miles
to receive this level of care, often, for a prolonged
period of time of three or more months. This creates
an emotional and financial disruption, further adding
to their heart-wrenching situation of having a newborn
baby in an ICU. Along with the Level III NICU, we will
also have Maternal Fetal Medicine specialists that will
keep high-risk expectant mothers from having to travel
for their specialized care. These services, Neonatal and
Maternal Fetal Medicine, will prevent the separation of
the mother and baby. As the NICU Medical Director at
Gulf Coast Regional Medical Center, I feel privileged
and take great pride to be part of a facility that is
committed to putting the patient first and providing a
superior level of care,” said Pena.
Dr. dela Rosa oversees the region’s only PICU, a fourbed multidisciplinary unit that provides care for infants,
children and adolescents.
“Sickness brings a tremendous amount of stress
to the lives of every individual, more so if it involves
children. Having the first and only PICU here in Bay
County offers a place where critically-ill children can
receive medical care from highly-trained doctors and
staff using advanced medical equipment without having
to drive long distances. It also gives the community
peace of mind knowing that in the event something bad
will happen to their kids, they can always receive the
appropriate care they need in a short period of time. I
am excited to share my extensive experience and, in the
process, help bring back the smiles on the faces of the
children of Panama City,” said dela Rosa.
page 9
Community Report
2014
EMERGENCY EXCELLENCE
ADULTS AND CHILDREN
This year, more than 60,000 patients chose Gulf Coast
Regional Medical Center for their emergency care. By
applying national best standards of care, the hospital
stands apart in several key areas that promote high quality,
compassionate care. They are:
COMMUNITY CANCER CARE
CARDIOVASCULAR CARE
Gulf Coast Regional Medical Center is the area’s only
hospital to earn both National Accreditation as a Chest
Pain Center with PCI (Percutaneous Coronary Intervention)
and for Peripheral Vascular Disease. The expansion of the
hospital’s cardiology program to include angioplasty and
stents signaled a new era in heart care for patients in Bay
and surrounding counties. Now, patients have a choice of
where they can go locally for high quality cardiac care.
The hospital has also earned its reputation as the area’s
leader in vascular care on the skills of its vascular surgeons,
the support of the cardiovascular clinicians, and expertise
and care provided by nurses.
page 10
As the area’s only hospital to be an affiliate of the
University of Alabama at Birmingham (UAB) Cancer Care
Network and a Nationally-Accredited Breast Center, Gulf
Coast Regional Medical Center stands alone in providing
its patients the broadest range of cancer-related services.
With two oncology nurse navigators, patients receive an
additional level of personal service during a difficult time
in their lives.
DA VINCI SI ROBOTIC SURGERY
Physicians have performed more than 2,000 da Vinci
robotic-assisted surgeries at Gulf Coast Regional
Medical Center, the only area hospital with two da Vinci
Si (the most advanced robotic surgery technology).
Patients needing general, pediatric, thoracic, prostate,
hysterectomy and other gynecologic procedures are
benefiting from robotic surgery at Gulf Coast Regional
Medical Center.
• Area’s shortest average ER wait time
• Area’s only designated Pediatric ER
• STEMI team
“STEMI” is an acronym to help paramedics and other
emergency medicine professionals recognize a heart
attack is occurring and that the heart muscle is being
damaged. STEMI (which stands for ST-Elevation
Myocardial Infarction) is the most dangerous type of heart
attack. When a STEMI alert is called at Gulf Coast Medical
Center, a multi-disciplinary team moves into action quickly
to assure proper emergency cardiac care is provided
accurately. The end result is that lives are being saved.
IMAGING SERVICES
Gulf Coast Regional Medical Center provides the most
comprehensive array of outpatient imaging services in
Bay and surrounding counties. We are equipped with a
broad range of diagnostic technology and are committed
to offering imaging services needed across the full
continuum of our patients care. The Diagnostic Center of
Gulf Coast Regional Medical Center provides all the tests
our patient’s need in one convenient location. Services
available are:
• AngioScreen
• Breast MRI
• Breast Ultrasound
• CT
• DEXA Bone Density
• Digital Mammography
• Fluoroscopy
• Lab
• Mammotome Breast Biopsy
• MRI
• PET/CT
• Ultrasound
• X-ray
page 11
Community Report
ITRIAGE
In a medical situation two of the first questions usually
asked are, “What’s wrong?” and “Where can I go for
help?” A new app for iPhone and Android users provides
that information and much more. The app is called
iTriage and it’s free. The app provides easy access to
much needed health information including information
on more than 1,000 diseases, 350 medical procedures
and 300 symptoms. In addition, it includes a nationwide
directory of emergency departments, hospitals and
physicians. For Gulf Coast Regional Medical Center,
iTriage is another resource that helps patients take control
of their healthcare. The iTriage app can be accessed at
www.itriagehealth.com/get-mobile.
NURSE NAVIGATORS
WOMEN & CHILDREN’S SERVICES
Gulf Coast Regional Medical Center’s nurse navigators
help women maneuver the often confusing path of
healthcare. They are patient educators and advocates,
care coordinators, system navigators and community
ambassadors on a mission to improve the healthcare
experience for each of their patients. Our nurse navigators
are a support system for their patients and family at a
critical time – after diagnosis and through treatment –
and serve as a “gateway” to Gulf Coast Regional Medical
Center services.
From helping women prepare for the birth of their first
child to providing compassionate care to them when they
are mature, our team of nurses and clinicians truly have a
special gift of caring for women through all the stages of
life. Following are highlights of our Women and Children’s
Services:
• “3 in 60” Women’s Imaging Package (mammogram,
labs, and DEXA scan performed in one appointment
and under 60 minutes)
• Area’s largest Pediatric Specialty Unit
• Area’s only Nationally-Accredited Breast Center
OR TRACKER
Taking the wait out of the waiting room is the goal of new
technology at our hospital. Large, flat screen monitors
in our Surgery and Outpatient Waiting areas display
information that track a patient’s progress through the
surgical process. Updates to the information are displayed
real time as a patient moves, for example, from surgery to
post-op. The displayed information meets patient privacy
requirements, and at the same time provides family and
friends timely updates.
ORTHOPEDIC & SPINE SURGERY
Patients needing advanced treatments for orthopedic
and spine issues can find high quality care at Gulf Coast
Regional Medical Center. We are the only hospital in
the area to have earned National Accreditation for both
Total Joint Replacement and Spine Surgery. Advanced
procedures including minimally invasive knee and hip
resurfacing, as well as partial hip resurfacing, are available
to relieve pain and help patients return to normal
activities. Our surgeons are committed to performing
the latest innovations in their field, and patients benefit
from the experience of a panel of orthopedic experts,
individualized treatment plans and a high caliber of care.
page 12
2014
• Most comprehensive diagnostic/imaging technology
for breast health
• Women’s Health Nurse Navigator
WOMEN’S IMAGING SUITE
News of a breast biopsy raises many emotions and
concerns, but 80% of breast biopsies do not turn out to
be breast cancer. At Gulf Coast Regional Medical Center,
we provide women the only designated Women’s Imaging
Suite with the Mammotome® Biopsy System, a complete
system for breast tissue sampling and management. With
the Mammotome Biopsy System, clinicians can achieve
diagnostic confidence using a less invasive approach that
offers women faster recovery, less scarring and lower costs
of care as compared to open procedures.
• Region’s only 18-bed Level III Neonatal Intensive
Care Unit (Spring 2014)
• Region’s only Pediatric Intensive Care Unit
page 13
Community Report
Looking to the Future
• The response to our Emergency services, especially
our Pediatric ER, will require a continued focus on our
processes and the quality of care we provide. It is our
pleasure to be the ER of choice for so many families
in our community.
• Gulf Coast Regional Medical Center partnered with
InTouch Health to provide 24/7 stroke care to patients
across North Florida. This program allows physicians
to remotely consult with patients, family members and
other healthcare providers at a moment’s notice from
anywhere in the world. Through an Internet-based
connection to the RP-Lite robot, physicians are able
to provide real-time audio/video consultations at
the patient’s bedside. By getting immediate access
to a Gulf Coast Medical Center neurologist, patients
may be eligible to receive time-critical medications
such as tissue plasminogen activator (tPA), which can
save brain function and reduce disability. As a result,
emergency physicians can more quickly treat stroke
patients in the ER and reduce or eliminate long-term
stroke impacts on patients.
• Through clinical affiliation partnerships with Northwest
Florida Community Hospital (Chipley, FL), Doctors
Memorial Hospital (Bonifay, FL) and Jackson Hospital
(Marianna, FL), we are creating a hospital network to
extend services from Gulf Coast Regional Medical
Center into the surrounding rural communities we serve.
• Gulf Coast Regional Medical Center’s partnership with
Seawind Medical Clinics in Panama City and Panama
City Beach allows us the opportunity to enhance
our services, while continuing to provide quality and
convenient care to the patients and employers we
serve across Northwest Florida.
page 14
2014
List of Services
24-Hour Emergency Room
Anesthesia Services
Bariatric Weight Loss Surgery
Birthing Services
Birthing Center
Bone Densitometry
Breast Health Services
Cancer Center
Cancer Resources Library
Cardiac Catheterization Lab
Cardiopulmonary Diagnostic Services*
Certified Primary Stroke Center
Chapel
Chaplaincy Services
CT Scan
Community Health Education Programs
Digital Mammography
Dietitian Consultation
Emergency Services
Endoscopy
Enterostomal Therapy
Geriatric Medical Care
(h2u) Health To You
Intensive Care Unit
Laboratory
Lactation Consultant Services
Lipid Disease Treatment
Mammography
Medical/Surgical Services
MRI
Neonatal Intensive Care Unit (Spring 2014)
Nuclear Medicine
Nurse Navigators
Nursery
OB/GYN
Operating Rooms
Orthopedic & Spine Surgery
Ostomy
Outpatient/Ambulatory Surgery
Pediatrics
Pediatric Emergency Care
Pediatric Intensive Care Unit (PICU)
Pediatric Speech Therapy
Peripheral Vascular Intervention
Physical & Occupational Rehabilitation
Physician Referral Service
Plastic Surgery
Prenatal Education
Pulmonary/Neurodiagnostic Services
Radiology/X-ray
Robotic Surgery
Speech Therapy
Stroke Prevention/Education
Support Groups
Telemedicine
Thyroid Disease Treatment
Ultrasound
Volunteer Program
Women’s Center
Wound Care Services
*EKG, Echo, Holter, Stress
page 15
Community Report
2014
Board of Trustees
(Front row, left to right):
Carlton Ulmer, Achraf Makki, MD, George Ramie, DO, Karen Durden, George Reiss, MD, Michael Taylor, MD
(Back row, left to right):
Frederick Shuler, MD, Allan Bense, Jim Kerley, Ted Haney, Joey Ginn, Samuel Combs, MD
Photo Credits
Cover photo and photo on page 12 courtesy of Kelly Watkins,
photos on page 7 courtesy of Savannah Jane Photography,
photos on pages 13 and 15 courtesy of Heather Cullen.
page 16
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